Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06531 | Date 03/04/2024 |
| Token No | SM/24-25/23225 15/06/2024 | Serial | 059 |
| Patient Name | Mrs. JABA BANERJEE | Contact No | 8013243448 |
| Address | 13/B D N MUKHERJEE ROAD SERAMPORE 712203 | Age | 61 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||